Receipt

Order ID: INT180113-4725-87367B
Order Created: 13 January 2018
Paid In Full: 13 January 2018

Purchaser

Fabienne Baumann
Orbium AG
Stockerstrasse 38
Zurich, 8002
Switzerland

Product Support
https://www.jotform.com
support@jotform.com

Seller

FastSpring
801 Garden Street
Suite 201
Santa Barbara, CA 93101
US

questionacharge.com
VAT Number: CHE-407.203.569

Description Quantity VAT Amount
JotForm Bronze Monthly
Billed monthly. Next Billing Date On 2/12/18
1 US$ 1,46 US$ 19,00
Subtotal US$ 19,00
VAT (7,68%) US$ 1,46
Total US$ 20,46

Invoice ID: IVTUIF6L4Z2JERRPW3A6453QCIDY